361 NE 100 St (7)APPLICATION FOR ELECTRICAL PERMIT
Permit No "— Date A
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work„/
Owner's Name and Address
Registered Architect and /or Engineer �d R
Employing Electrician's Name. Y
Location and Legal Description Lot
Street and Number where work is to be performed —No
Service OOvcrheaound Size Feeders Conduit Main Sw Amps �� Main Fu ses J Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
sb.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block Subdivision
Street v' f
(Signed)
No orki
Street.. /
The undersigned applicant for this building permit does hereby certify that he understands an a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General ws
has complied with the provisions thereof, and will require similar compliance from all contrac •rs or
work to be performed under this permit; and will post or cause to be posted for inspection o the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed) if 1./
Street .... 0 0
Electn2al_, Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
l
Master Electrician.
STATE OF FLORIDA, 'l
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
and take acknowledgments, personally
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $l.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
RACE
H ATER
STRIP
HEATER
TOTAL
,p
y4ONTR.
�iaT
v
/
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
piO
CHECK
APPLICATION FOR ELECTRICAL PERMIT
Permit No "— Date A
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work„/
Owner's Name and Address
Registered Architect and /or Engineer �d R
Employing Electrician's Name. Y
Location and Legal Description Lot
Street and Number where work is to be performed —No
Service OOvcrheaound Size Feeders Conduit Main Sw Amps �� Main Fu ses J Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amount of Permit $
sb.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Block Subdivision
Street v' f
(Signed)
No orki
Street.. /
The undersigned applicant for this building permit does hereby certify that he understands an a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General ws
has complied with the provisions thereof, and will require similar compliance from all contrac •rs or
work to be performed under this permit; and will post or cause to be posted for inspection o the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
(Signed) if 1./
Street .... 0 0
Electn2al_, Inspector.
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
l
Master Electrician.
STATE OF FLORIDA, 'l
COUNTY OF DADE. j
Before me, the undersigned authority, a notary public, duly authorized to administer oaths
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
and take acknowledgments, personally
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $l.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
lUILDING ❑
:LECZ'ItICAL PERMIT o
'LUMBING ❑ N. 9432
:OOFING ❑
❑ Work to be performed under this Permit
)wner of
uilding
.rchitect
:ontractor
r Builder
egal
)escription
ddress of
uilding
Lot
MIAMI SHORES VILLAGE. FLORIDA
■ C • 4 i ( �.
f`
Bl.
Subdi-
vision
(
R
Sq. Ft
Value of
Project $
DATE I
Contractor's
License
Amt. of
Permit $ �.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
= rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
3 n by his agents, servants or employees.
Signed: 1 r BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
-rtaining thereto and in strict conformity with the plans, drawings, star ents or specifications submitted to the proper authorities of Miami Shores Village.
accepting this permit I assume responsibility fo; all work done by ether, myself, my agent, servUnt or employee.
tONTRACTOR OR BUILDER
L -
f
'BY AUTHORITY
—III
NO.
STREET
PART OF LOT
LOT
BL'K
TOWN, ADDITION, OR SUBDIVISION
Signs
Billboards
Other Apparatus
Permit Fee
Cr
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters'
Signs
Billboards
Other Apparatus
Permit Fee
Cr
#7.$
ELECTRICAL PERMIT Town of Miami Shores
N. B. —This Permit must be on display on the premises
during the construction.
i f
Owner of Building
•
Dated
Cont for or Electrician
STRANGE PRINTING CO., MIAMI, FLA.
I
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores, Florida, 7-- 41 19
PROPOSED LOCATION
DESCRIPTION OF WORK
NUMBER OF
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at
any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unau-
thorized by this Department.
N? 173
" 1/ 11 Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the
Town of Miami Shores.
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
TOWN, ADDITION, OR SUBDIVISION
I
Other Apparatus
Permit Fee
q
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters' Signs
Billboards
Other Apparatus
Permit Fee
q
I
1
° =s
4 . /
ELECTRICAL PERMIT Town of Miami Shores
N. B. —This Permit must be on display on the premises
during the construction.
Owner of Building --
Contractor or Electrician.
Dated , 19?.j_
"4 OE PRINTING CO., MIAMI, FLA.
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores, Florida, ,
PROPOSED LOCATION
DESCRIPTION OF WORK
NUMBER OF
9
1ST° 173
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of the Town of Miami Shores and the rules and regulations of the Electrical Department of the Town of Miami Shores. This Permit may be revoked at
any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unau-
thorized by this Department. �..�
Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of the Town of Miami Shores, and all rules and regulations of the Electrical Department of the
Down of Miami Shores.
(Seal)
FLOORS
FIXTURES ONLY
NUMBER OF
TOTAL
OUTLETS
SIZE OF
SIZE SERVICE
CONDUIT
NO.
CIRCUITS
LIGHTS
CEILING
BRACKETS
MAIN
SUBS
BRANCHES
BASEMENT
FIRST
SECOND
THIRD
FOURTH
A•63
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION
WILL BE RETURNED.
LOT NUMBER
STREET AND Nu g R
OWNER
OCCUPIED As
BUILDING —NEW OR OLD (UNDERLINE wHICH)
CEILING
REMARKS
CONTRACTOR
BY - f •
BRACKETS
=10
RECEIVED BY INSPECTOR
PROGRESS
WILL INSPECT AGAIN
■
ELECTRICAL DEPARTMENT OF T
Desiring your certificate of Approval, application is hereby made for an inspection of the electric
installation in the premises stated below, for which undersigned agrees to correct any infractions
of the National Electrical Code and the City Ordinance pointed out by Inspector.
BLOCK _ MBER SUBDIVISION
RECEPTACLES
ROUGH WIRING
FINAL No
CORRECTED
TEMPORARY DAYS.
DATE ISSUED
(7 4n
SWITCHES
APPLICATION
KIND OF INSTALLATION OPEN OR CONCEALED
SIDF
OCCUPANT
WORK — ADDITIONAL, NEW, ALTERATION OR REPAIR
SPECIFICATIONS
H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF
STOVES
ADDRESS
WATER HEATERS
REMARKS
SIGNS
SPACE BELOW FOR INSPECTOR'S USE ONLY
KNOB. RX., BX., MLDG., CONDUIT. METALLIC TUBING
N
INSPECTION WANTED i
INSPECTED s"
FEE REMITTED
OTHER APPARATUS
INSPECTOR
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEALED
NUMBER OF
CIRCUITS
Outlets
Motor
Gen.
Main
Sub
Branch
Basement
First
Second
Third
Fourth
/
Y ") <)
/
Other Floors_
Form 2-16
Occupied as
Outlets I Motors
REMARKS•
Work will be started
(Applicant sign here
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLI-
CATION WILL BE RETURNED 4
Lot Number 12 --
Street and Number
/Ik ,t,, Side fif
Owner �3 • i, Occupant 2 =• . 4
Received by Inspector I
CERTIFICATES
APPLICATION No /.5 E i
Date �' {'' � , 192
Electrical Department of the City of Miami
Desiring your Certificate of Approval, application is hereby made for an
inspection of the electric installation in the premises stated below, for which
undersigned agrees to correct any infractions of the National Electrical Code
and the City Rules pointed out by Inspector.
Bloc Number ° / ' "'
4 - Cf
Building —New or Old (underline which).
H. P. of each motor
Number of Motors / H P Volts fps Phase
Receptacles
Greatest Number of Lights on one Branch
i
Progress
Will inspect again
Rough Wiring
FINAL No
Corrected
Temporary Days
Approved Letter
Date Issued
Generators
SPECIFICATIONS
Stoves I Water Heaters I Signs Billboards Other Apparatus
Will be finished tee* S e E t '
Address +�
Stree ,)7
SPACE BELOW FOR INSPECTORS USE ONLY
r
nspected
Correct Location
Correct Equip.
DEFECTIVE
Time
Allowed
'nays
Work — Additional or New (underline which).
(Nature of Work) Open — Concealed IKneb-- M1dg.— Conduit
Electric Light Co
Fee remitted
J
Remarks •